Individual
THERESA CHRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042
(410) 313-1571
Mailing address
4691 TEN OAKS RD, DAYTON, MD 21036-1126
(908) 591-5141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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